Aim: To describe an association of spontaneous inferior subconjunctival haemorrhages in eyes with circumferential drainage blebs following trabeculectomy.

Methods: Observational case series. Patients with multiple episodes of spontaneous inferior subconjunctival haemorrhage following trabeculectomy (with or without antimetabolite) and circumferential blebs are presented. All patients described had multiple episodes. A possible mechanism is discussed.

Results: The number of spontaneous haemorrhages ranged from two to more than 10. All individual haemorrhages resolved spontaneously without adverse sequelae

Conclusions: A new clinical presentation of inferior subconjunctival haemorrhage in association with circumferential blebs is described.

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http://dx.doi.org/10.1038/sj.eye.6701496DOI Listing

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